Individual provider Active NPI

Jared Curtin

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
National Provider Identifier
1023470184
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
04647 Issued in NH
Practice address
100 E Newton St
G305
Boston, MA 02118-2308
Phone
(508) 328-5656
NPI assigned
Mar 27, 2016
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL12973 MA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 04647 NH Primary

Addresses

Primary practice location

100 E Newton St
G305
Boston, MA 02118-2308

Mailing address

100 E Newton St
G305
Boston, MA 02118-2308
Phone (508) 328-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110001378 NH Practitioner - Oral Surgery 4082095385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Boston Univ Goldman School of Dental Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Parmenter Rd
Unit A2
Londonderry, NH 03053-3200
Phone (603) 437-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL12973MAMDDentist
04647NHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Jared G Curtin DDS PLLC Oral and Maxillofacial Surgery CurrentSince Oct 10, 2022 Accepting new patients
Londonderry Oral Surgery PLLC Oral and Maxillofacial Surgery CurrentSince Nov 30, 2022 Accepting new patients

Locations

12 Parmenter Rd
Unit A2
Londonderry, NH 03053
Phone (603) 437-7600

395 Main St
Ste 1
Salem, NH 03079
Phone (603) 893-7601

Interoperability endpoints

  • Direct secure messaging: jcurtin94273@direct.bmc.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1023470184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "address_2": "G305",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "508-328-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "address_2": "G305",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "508-328-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIN",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-27",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL12973",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "04647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.